Dr. Susan Schroeder
Procedural Dermatology
1259 Lake Plaza Dr Ste 270
Colorado Springs
, Colorado 80906-3560
Dr. Susan Schroeder
Procedural Dermatology
1259 Lake Plaza Dr Ste 270
Colorado Springs
, Colorado 80906-3560
(719) 421-7132
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Susan Schroeder
- 1259 Lake Plaza Dr Ste 270
- Colorado Springs, CO
- Zip : 80906-3560
- Phone : (719) 421-7132
Second Address
- Dr. Susan Schroeder
- 1259 Lake Plaza Dr Ste 270
- Colorado Springs, CO
- Zip : 80906-3560
- Fax : (719) 639-7903
- Phone : (719) 421-7132
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Is Dr. Susan Schroeder a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 25MA08824100 | NJ |
National Provider Identifier
| NPI | 1366410920 |
|---|---|
| Provider Name | Dr. Susan Schroeder |
| First Address | Colorado Springs, CO 80906-3560 |
| Second Address | Colorado Springs, CO 80906-3560 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 01/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H24578 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.